Ercetin O, Akinci M
Ankara Hand Surgery Center, Turkey.
Ann Chir Main Memb Super. 1994;13(1):5-12. doi: 10.1016/s0753-9053(05)80351-5.
The results of treatment of 28 cases of Volkmann's ischaemic contracture by free muscle transfer are presented. Attention is drawn to the existence of an infarct in the median nerve in addition to the infarct in the muscle and that loss of nerve function is as important as the motor loss in determining functional outcome. Comparison of those cases treated early (within 6 months of injury) by free vascularised muscle transfer with those operated late showed better sensory recovery in the early treated group while the amount of motion obtained was not significantly different. Our present indications, timing, and technique of free muscle transfer in Volkmann's ischaemic contracture are discussed.
本文介绍了采用游离肌肉移植治疗28例Volkmann缺血性肌挛缩的结果。除肌肉梗死外，还应注意正中神经梗死的存在，并且在决定功能结果方面，神经功能丧失与运动功能丧失同样重要。将早期（受伤后6个月内）采用带血管蒂游离肌肉移植治疗的病例与晚期手术的病例进行比较，结果显示早期治疗组的感觉恢复更好，而获得的活动量无显著差异。本文还讨论了目前在Volkmann缺血性肌挛缩中进行游离肌肉移植的适应证、时机和技术。
